DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Stoboclo
(DENOSUMAB)
60mg/mL Inj Sol-1.0mL Pref Syr Pk (Preservative-Free)
DIN/PIN/NPN:
02560917
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Interchangeables:
NO
Manufacturer:
Celltrion Inc.
Formulary Listing Date:
2025-11-28
Drug Benefit Price or Unit Price:
194.7000
Amount MOH Pays:
194.7000
Coverage Status:
Limited Use Product
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